| 03/06/2013 |
| 08:29:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DOCEKAL, ZACH, | GA-460212 | R | 178.60 | 5444********6469 | 406054 | 03/06/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 178.60 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 178.60 |